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Five more cases are under investigation

Any type of physical activity that increases the heart rate, such as walking in fresh, clean air, helps exchange oxygen and carbon dioxide

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E-cigarettes affect digestion through: Rapid nicotine delivery to the bloodstream Higher nicotine concentrations in some products (up to 50mg/mL) Propylene glycol and vegetable glycerin, which may affect gut function Flavorings and additives with potential digestive effects These factors can trigger or worsen IBS symptoms in some users, including alternating constipation and diarrhea

He also stresses that even the claim that heating versus burning releases different levels of chemicals is also in question, adding that this is dependent on how the product is used and cleaned in practice. CNN reports that IQOS is already in use by more than 11 million people around the world, a sign of a trend that gives doctors pause